· I-Anatomy Esetshenzisiwe
Ubude bonke be-clavicle bungaphansi kwesikhumba futhi kulula ukububona. Isiphetho esiphakathi noma isiphetho esingemuva se-clavicle siqinile, ubuso baso obuqondile bubheke ngaphakathi naphansi, kwakheka i-sternoclavicular joint ene-clavicular notch yesibambo esingemuva; isiphetho esiseceleni noma isiphetho se-acromion siqinile futhi siyisicaba futhi sibanzi, kanti ubuso baso obuqondile be-acromion buyi-ovoid futhi bungaphandle naphansi, kwakheka i-acromioclavicular joint ene-acromion. I-clavicle isicaba ngenhla futhi iyindilinga phakathi nomngcele ongaphambili. Kukhona ukugoba okuqinile kwe-costoclavicular ligament ohlangothini oluphakathi ngezansi, lapho i-costoclavicular ligament inamathela khona. Ngaphansi kwe-lateral kukhona i-conical node kanye nomugqa oqondile one-conical ligament ye-rostroclavicular ligament kanye ne-oblique ligament attachment, ngokulandelana.
· Izinkomba
1. Ukuphuka kwe-clavicle okudinga ukusikwa nokunciphisa ukuqina kwangaphakathi.
2. I-osteomyelitis engapheli noma isifo sofuba se-clavicle sidinga ukususwa kwethambo elifile.
3. Isimila se-Clavicle sidinga ukususwa kabusha.
· Indawo yomzimba
Ukuma ulele phansi, amahlombe aphakanyisiwe kancane.
Izinyathelo
1. Yenza i-incision ngokwesimo se-clavicle esimise okwe-S, bese welula i-incision eceleni konqenqema olungaphezulu lwe-clavicle iye ezinhlangothini zangaphakathi nezangaphandle nendawo ye-lesion njengophawu, futhi indawo nobude be-incision buzonqunywa ngokuya nge-lesion kanye nezidingo zokuhlinzwa (Isithombe 7-1-1(1)).
Umfanekiso 7-1-1 Indlela Yokubonakaliswa Kwe-Clavicular Yangaphambili
2. Sika isikhumba, izicubu ezingaphansi kwesikhumba kanye ne-fascia ejulile eduze kwesibazi bese ukhulula isibambo sesikhumba phezulu naphansi njengoba kufanele (Isithombe 7-1-1(2)).
3. Hlaba umsipha we-vastus cervicis endaweni engenhla ye-clavicle, umsipha ucebile ngemithambo yegazi, naka i-electrocoagulation. I-periosteum ihlikihliwe endaweni yamathambo ukuze kuhlukaniswe i-subperiosteal, kanye ne-sternocleidomastoid clavicle engxenyeni engenhla engaphakathi, i-pectoralis major clavicle engxenyeni engezansi engaphakathi, umsipha we-trapezius engxenyeni engenhla engaphandle, kanye nomsipha we-deltoid engxenyeni engezansi engaphandle. Lapho uhlikihla i-subclavian engemuva, uhlikihla kufanele kwenziwe ngokuqinile ebusweni bethambo, futhi i-control stripper kufanele iqine ukuze ingalimazi imithambo yegazi, imizwa, kanye ne-pleura ye-posterior clavicle (Isithombe 7-1-2). Uma kuhlongozwa ukufaka isikulufo sepuleti, izicubu ezithambile ezizungeze i-clavicle ziqale zivikelwe nge-periosteal stripper, futhi imbobo yokubhoboza kufanele iqondiswe ngaphambili phansi, hhayi ngemuva phansi, ukuze ingalimazi i-pleura kanye nomthambo we-subclavian.
Umfanekiso 7-1-2 Ukudalula i-Clavicle
Isikhathi sokuthunyelwe: Novemba-21-2023
